Category Archives: Best Dentist

About to choose my first dentist

I’m graduated college and my new job is halfway across the country from my hometown.  I won’t be able to pop home for a quick visit any more and see my old dentist. So, it is time for me to pick my own. Do you have any advice for me?

Isabella- Denver


Congrats on starting a new life! This is an exciting time for you. I’m impressed you’re already thinking of how important it is to get a dentist.

Finding the best dentist for you depends on what you’re looking for. Do you want someone who chats or just gets business done?

Do you want a general dentist for just the basics or are you hoping for someone that does cosmetic dentistry also?

For the first couple of choices, you can tell that just by your first consultory visit.  The second two choices are a little more involved.  For cosmetic work, you want to make sure they’re not just highly trained, but artistic as well.  Knowing how to do the procedure and getting beautiful results are two different things.  Your best bet is to find someone who is accredited (not just a member) with the American Academy of Cosmetic Dentistry.

It’s worth it to drive to the next town if you need to for cosmetic work to get someone accredited. Though, in your case, you won’t have to.

Hope this helps.

This blog is brought to you by Cosmetic Dentist Dr. Randall Burba.

My crown doesn’t match my other teeth

I got my first dental crown.  I was already embarassed about having a fake tooth, but when he put the crown in I burst into tears. It doesn’t look at all like my other teeth. Technically it is the same color, but it doesn’t look right. I don’t know if this makes much sense, but  it looks “flat”. What it boils down too is I can tell it’s different and I’m embarassed. My dentist says it looks fine. Is there anything I can do?

Elaine T. – New York


I’m sorry this has happened to you. Obviously you have a more artistic eye than your dentist. Unfortunately, if your dentist isn’t willing to do it again, there isn’t much you can do.  The “standard” for dental care is functional, so you’re unlikely to win a refund in court if  the crown functions properly. I know that seems unfair, but currently there is no ethical standard of aesthetics.

This doesn’t mean you have to be stuck with an ugly crown. It just means it has to be re-done to a higher standard. I don’t think you currently have the best dentist to do this.  Creating beautiful dental work takes more than technical skill. It takes an artistic eye. I’d look for someone who is accredited by the American Academy of Cosmetic Dentistry.

This blog is brought to you by Salem, MA Cosmetic Dentist Dr. Randall Burba.

Which veneers should I get?

I’ve decided to get a smile makeover. I’ve been doing some research, but cannot decide which brand of porcelain veneers would be the best. Do you have any recommendations?

Sienna F. – New Mexico


You’re actually asking the wrong question. There are several great brands of porcelain veneers. It won’t matter how good the porcelain veneers are, if the dentist isn’t artistic. Any dentist can call themselves a cosmetic dentist regardless of their training. The reason for this is there is not a recognized cosmetic specialty. Any general dentist can consider themselves a cosmetic dentist.

So, I guess you can tell that the question you should be asking, is how to find the best cosmetic dentist.

The safest course is to find a dentist that is accredited with the American Academy of Cosmetic Dentistry (AACD). It isn’t always easy to find one. They’re among the top 1% of cosmetic dentists in the country.

If you’re serious about getting the best smile makeover, then it would be worth it to drive to a nearby state or city  in order to get the most artistic care.

This blog is brought to you by Salem, MA Cosmetic Dentist Dr. Randall Burba.


My dentist thinks I’m an idiot

There is nothing I deplore more than being talked down to. My dentist and I have always gotten on generally well. However, since I’ve had a child, I’ve done more research….well, let’s say a neurotic amount of research. My daughter needs a filling. I want a composite filling for her, not a silver filling. My dentist insists they are inferior to silver fillings. I know they’re not, but it’s more than that. He treated me like some idiot.  Do you have a recommendation on how to convince him?

Shari D. – Washington


I’ll be honest. I think this isn’t the best dentist for your family. You really want someone who listens to you. Plus, you’re right, his information is inacurate. However, I suspect he really knows better, but isn’t comfortable placing them. He’d never admit that, so he tries to make you feel like you know less than he does.

Don’t force the issue. If he’s uncomfortable with the procedure, he’s likely not to do it well.  You’ll need to find a dentist that is more comfortable listening to you. You might also want to ask ahead of time if they’re a mercury free dentist. That will ensure that you’re able to get your daughter composite fillings.

This blog is brought to you by Salem, MA Cosmetic Dentist Dr. Randall Burba.

Problem with my porcelain veneers

I’m not sure what to do. I got these porcelain veneers. I told the dentist exactly what I wanted, but for some reason what came back wasn’t even close. I told him I did not like them, but he said they’d be much better than what I chose.  He feels like he’s the expert and knows what I need better than I do.  I thought cosmetic dentistry was about what I wanted?

Amelia L. – Little Rock, AR


I don’t know how else to say this, but you need a different dentist. You’re right. Cosmetic dentistry is about what you want.  I highly suggest you find a dentist who is better qualified. Ideally, you’d want one who is AACD accredited. It would be worth a drive if you could only find one in the next city.

It sounds like your dentist is more of a general dentist than a cosmetic dentist. In dental school we’re taught that we know better than the patient. However, those who study cosmetic dentistry, post graduate know it is all about how the patient feels about their smile.

This blog is brought to you by Salem, MA Cosmetic Dentist Dr. Randall Burba.

Not the best dentist for your implants

I had two teeth extracted that I am planning to replace with dental implants. For one of the teeth, my dentist left the root in. When I realized it, I called to ask about it. He says it isn’t a problem, but I can’t imagine it wouldn’t be if I need a root implanted. What do you think?

Janet H.- Indiana


There are times that a root can be left, but generally we are talking about root tips, not the whole root; and only when there is a high risk situation. But, there are a couple of things that concern me here. First, when root tips are left, the dentist always informs the patient. It doesn’t sound like your dentist informed you.

My next concern is regarding your dental implants. I hope you’re not planning on using this dentist for your implants. He is defintely not the best dentist for this procedure. He’s got even the most basic aspects of implants wrong. You know more than your dentist. You’re right, you cannot have any of your natural root there if there is going to be an implant placed.

You need to have the root removed as quickly as possible. If your dentist can’t remove it (which at this point wouldn’t surprise me), you’ll need to go to a different dentist. Preferably someone with an experitise in dental implants.

This blog is brought to you by Salem, MA Cosmetic Dentist Dr. Randall Burba.

Finding the best dentist

My dentist is pretty sure I need TMJ treatment, but he doesn’t do those types of treatments. He’s going to recommend someonen for me, but I wondered how to know if I was getting the best dentist for that treatment or just one of his buddies.

Sam J- Alabama


I suspect your dentist will be honest with you, because he was honest enough to tell you that you needed something he wasn’t qualified to provide, AND told you he wasn’t the one to treat you.

However, it never hurts to know what to look for in quality dentist treatment. Whenever you are looking for a specific type of treatment. It doesn’t hurt to reasearch where the best training for that is.  In the case of TMJ, you want someone who has had post-graduate training specific to this condition. Two great institutes that offer this are The Dawson Academy and the Las Vegas Institute for Advanced Dental Studies.

There is nothing wrong with asking a dentist about their qualifications.

This blog is brought to you by Boston Cosmetic Dentist Dr. Randall Burba.

I need the “best” dentist

I have a real problem. I had two crowns placed. Once they were done, I hated the color. It just didn’t match my other teeth. I mentioned this to my dentist. He told me he didn’t agree and that the color looked fine to him.

I was pretty angry.  I was spending a lot of money and it’s not like these crowns were hidden in the back of my mouth and wouldn’t matter. These crowns are in the front of my mouth. Right now I don’t even want to smile. What I need to know is how I can find out who is the best dentist in my area.


Allysa- Brookfield, IL


Your experience is not uncommon. Most dentists get into their field because they like to fix things.  What you need is a dentist who not only is good at fixing things, but also has an artistic eye. At the very least, you want your teeth to match.

Unfortunately, there is no objective measurement to determine who is the best dentist in your area (or any area). In your particular case, you want to find a dentist who is also skilled in cosmetic dentistry. The surest way of guaranteeing you’ve got an artistic and technically skilled cosmetic dentist is to find someone who is accredited by the American Academy of Cosmetic Dentistry (AACD).

In order to reach accreditation level, dentists have to pass a stringent exam as well as demonstrate their artistry by showing samples of cosmetic work they’ve done that meets the AACD’s qualifications.

This blog is brought to you by Boston Cosmetic Dentist Dr. Randall Burba.